| NPI | 1528366119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KILLEEN CEO 480-813-6483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ ALH 2291) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |